Individual
JEANIE RYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
705 S CONSTITUTION AVE, OAK GROVE, LA 71263-9095
(318) 428-9641
(318) 428-9277
Mailing address
705 S CONSTITUTION AVE, OAK GROVE, LA 71263-9095
(318) 428-9641
(318) 428-9277
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10467
LA
Other
Enumeration date
06/27/2014
Last updated
06/27/2014
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